POSITION STATEMENT Vit D
|
|
- Colleen Lloyd
- 5 years ago
- Views:
Transcription
1 POSITION STATEMENT Vit D APPROVED BY THE AUSTRALIAN AND NEW ZEALAND BONE AND MINERAL SOCIETY, RISKS AND BENEFITS OF SUN EXPOSURE POSITION STATEMENT Summary statement A balance is required between avoiding an increase in the risk of skin cancer by excessive sun exposure and achieving enough sun exposure to maintain adequate vitamin D levels. Sun exposure is the cause of around 99% of non-melanoma skin cancers and 95% of melanomas in Australia 1, however, exposure to small amounts of sunlight is also essential to good health. Ultraviolet radiation B (UVB) is the component of sunlight that is most likely to be responsible for both its beneficial and its harmful health effects. In Australia, where UVB levels are in the high to extreme range for much of the year, sun protective measures to reduce the incidence of skin cancer must continue to be a high public health priority. The majority of Australians are thought to have sufficient UVB exposure from sunlight to ensure adequate vitamin D production serum 25-hydroxy vitamin D levels >50 nanomoles/litre (nmol/l) to form and maintain healthy, strong bones. Vitamin D forms in the skin as a result of UVB exposure, but few studies have investigated the amount of UVB that people require to make enough vitamin D 2. There is evidence to suggest that prolonged sun exposure does not cause Vitamin D levels to continue to increase 3. Therefore, people should continue to protect themselves from overexposure, especially during peak ultraviolet radiation periods (10 am to 3 pm). Further scientific investigation of the amount of ultraviolet radiation exposure required to ensure adequate vitamin D levels for people of different skin types in Australia is needed. People who are at risk of vitamin D deficiency may need vitamin D supplementation if their exposure to ultraviolet radiation is not adequate. People living in the southern regions of Australia have a higher risk of vitamin D deficiency, particularly during the winter months. Recommendations 1. For most people, sun protection to prevent skin cancer is required when the UV index is moderate or above (i.e. UV index is 3 or higher). At such times sensible sun protection behaviour is warranted and is unlikely to put people at risk of vitamin D deficiency. 2. Most people probably achieve adequate vitamin D levels through the UVB exposure they receive during typical day-to-day outdoor activities. For example, it has been estimated that fair skinned people can achieve adequate vitamin D levels (>50 nmol/l) in summer by exposing the face, arms and hands or the equivalent area of skin to a few minutes of sunlight on either side of the peak UV periods on most days of the week. In winter, in the southern regions of Australia where UV radiation levels are less intense, maintenance of 1 APPROVED BY THE AUSTRALIAN AND NEW ZEALAND BONE AND MINERAL SOCIETY,
2 vitamin D levels may require 2-3 hours of sunlight exposure to the face, arms and hands or equivalent area of skin over a week. 3. Some people are at high risk of skin cancer. They include people who have had skin cancer, have received an organ transplant or are highly sun sensitive. These people need to have more sun protection and therefore should discuss their vitamin D requirements with their medical practitioner to determine whether dietary supplementation with vitamin D would be preferable to sun exposure. 4. Some groups in the community are at increased risk of vitamin D deficiency. They include naturally dark skinned people, those who cover their skin for religious or cultural reasons, the elderly, babies of vitamin D deficient mothers, and people who are housebound or are in institutional care. Naturally dark skinned people (Fitzpatrick skin type 5 & 6 4 rarely or never burns) are relatively protected from skin cancer by the pigment in their skin; they could safely increase their sun exposure. Others on this list should discuss their vitamin D status with their medical practitioner as some might benefit from dietary supplementation with vitamin D. Vitamin D Most vitamin D is produced in the skin by exposure to UVB (wavelength nm) from sunlight 5. It can also be obtained from foods where it occurs naturally such as oily fish, eggs, and meat or fortified foods such as margarine and some milks. However food sources make a relatively small contribution to total vitamin D status. Vitamin D supplements are also readily available without medical prescription over the counter in pharmacies. Vitamin D production decreases during winter when the intensity of ultraviolet radiation is lower. The body can rely on tissue stores of vitamin D for between 30 and 60 days assuming vitamin D levels are adequate prior to winter 3. In most cases, any vitamin D reduction during winter is corrected in summer when more sunlight is received with more time spent outdoors. While this correction may occur, it is still advisable to prevent deficiency during winter as fracture rates increase with deficiency, particularly in older adults 6. For those over 40 years of age, it is conceivable that annually recurring cycles of low vitamin D during the winter months contributes, at least in part and over many years, to age-related bone loss 7. There is very little research available to determine exactly how much sun exposure is necessary to maintain adequate vitamin D levels. Variations in age, skin colour, latitude, time of day and time of year makes it impractical to provide prescriptive advice to the population as a whole. Based on available research, it has been estimated that fair skinned people can achieve adequate vitamin D levels (>50 nmol/l) in summer by exposing the face, arms and hands or the equivalent surface area to sunlight for only a few minutes on either side of the peak UV periods on most days of the week 8,9. In winter, in the southern regions of Australia where UV radiation levels are less intense, vitamin D levels may be maintained by approximately 2-3 hours of sunlight exposure accumulated over a week to the face, arms and hands or 2 APPROVED BY THE AUSTRALIAN AND NEW ZEALAND BONE AND MINERAL SOCIETY,
3 equivalent surface area. For naturally dark skinned individuals, the required amount of time in the sun will be significantly more than this. In northern states, the amount of sunlight exposure required to receive adequate vitamin D levels will be significantly less than for southern states because UV radiation levels are higher. While vitamin D levels of at least 50 nmol/l are recommended, there is emerging evidence that the optimal level to maintain bone health may be as high as 75 nmol/l 10,11. For the Australian population to achieve this level without putting themselves at greater risk of skin cancer through increased sun exposure, there would be an increased requirement for dietary sources of vitamin D. Given foods with naturally occurring vitamin D currently contribute very little to daily intake for Australians, the fortification of core foods should be considered. Vitamin D status in Australia has not been widely studied in the general population, however some studies have shown that up to 80% of people in at-risk populations display evidence of deficiency 12. Mild vitamin D deficiency (25 50 nmol/l) was noted in 43% of females and moderate or severe vitamin D deficiency (<25 nmol/l) in 11% of females during winter in the Victorian population of Geelong (latitude 38ºS) 13. Certain groups within the community are at higher risk of vitamin D deficiency because their level of sun exposure is inadequate. These include naturally dark skinned people (who need more sun to make vitamin D), those who cover their skin for religious or cultural reasons, the elderly and people who are housebound or are in institutional care. Bone and musculoskeletal health There is good evidence that vitamin D is beneficial for maintaining musculoskeletal health and reducing the risk of bone fractures 14,15. The human body needs vitamin D to regulate calcium levels in the blood and to make and maintain healthy, strong bones and for this reason it is important to maintain adequate vitamin D levels all year round 7. Vitamin D deficiency in infants and children can cause rickets, characterised by muscle and bone weakness and bone deformities. Adults with low vitamin D are at risk of bone and joint pain, muscle and bone weakness, osteoporotic fractures and falls. Other health conditions Recently, some studies have been published that suggest possible beneficial effects of sun exposure in the prevention or improvement in outcome of treatment for a number of other diseases including breast, prostate, and colorectal cancer, non-hodgkin lymphoma, diabetes and multiple sclerosis 7,16,17,18,19,20,21. The biological pathways underlying these observed associations are not clear. While vitamin D is likely to be a contributing factor to disease risk reduction, it is not yet clearly known whether there are factors other than vitamin D that is derived from sun exposure that may play a role. There is insufficient evidence to assume that vitamin D 3 APPROVED BY THE AUSTRALIAN AND NEW ZEALAND BONE AND MINERAL SOCIETY,
4 supplementation and sun exposure are equivalent in their beneficial effects. Therefore at this stage, there is insufficient evidence for any definitive action to be taken on these findings or any recommendations to be made, as more research is needed. Risk Factors for Vitamin D Deficiency a. Individuals who are at high risk of skin cancer Certain people are at high risk of skin cancer. They include individuals who have had skin cancer, have received an organ transplant or are highly sun sensitive. These people need to have more rigorous sun protection practices and therefore should discuss their vitamin D requirements with their medical practitioner to determine if dietary supplementation rather than sun exposure is appropriate. b. People with dark skin People with naturally very dark skin require more ultraviolet radiation exposure to produce adequate levels of vitamin D as the pigment in their skin reduces ultraviolet radiation absorption 22. When people with dark skin cover themselves for religious or cultural reasons, this further reduces the ultraviolet radiation available for vitamin D production. Vitamin D supplementation is likely to be required for this population group. During early pregnancy is an important time to screen for vitamin D deficiency in this group and if necessary provide supplements. c. Older adults Vitamin D deficiency is a problem in frail, housebound or institutionalised older Australians. It is related to increasing age, and low levels of exposure to sunlight 4. As the human body ages, it becomes less efficient at synthesising new bone and making vitamin D, adding to the problem 23. For this reason, older adults who are vitamin D deficient increase their risk of osteoporosis, falls, and fractures 24. The National Health and Medical Research Council recommends that older adults boost their vitamin D intake by taking a daily supplement at the recommended dose or as advised by a medical practitioner 25. Older adults who are not at high risk of skin cancer and who are mobile should ensure they have incidental exposure to sunlight if vitamin D supplementation is not available or impractical, especially at times when ultraviolet radiation is less likely to cause other health problems. d. People who wear concealing clothing Some people, especially women who wear concealing clothing for religious or cultural reasons, are at increased risk of vitamin D deficiency because of very low skin exposure to sunlight 26. Vitamin D supplementation is likely to be required for this population group if culturally acceptable spaces are not available where they can expose more of their skin to sunlight. Again pregnancy is an important time to screen for vitamin D deficiency and if necessary provide supplements. e. Babies and infants of vitamin D deficient mothers Babies and infants of mothers with inadequate vitamin D levels are also likely to be vitamin D deficient 27. Babies most at risk are those who are exclusively or partially breastfed by mothers who are vitamin D deficient. 4 APPROVED BY THE AUSTRALIAN AND NEW ZEALAND BONE AND MINERAL SOCIETY,
5 Sun protection and your risk of vitamin D deficiency There are times during the day or year when it is safe to go outside without the need for sun protection. This would normally be when the UV index is less than 3, such as in the early morning or late afternoon or during winter in the southern regions of Australia. As a result, people in southern regions may not need to be concerned about sun protection from May to August unless they are at high altitudes, near highly reflective surfaces such as snow or water or unless they have a high risk of skin cancer. Table 1 provides guidance as to the monthly average peak UV levels by month for selected Australian capital cities that can identify (see shaded areas) the months of the year by region when sun protection may not be required. For other months by region, sun protection will be required except for when the UV Index is less than 3, such as early morning and late afternoon. Table 1. UV Index* in selected Australian cities averaged over the days in each month Loca tion Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Dar win Bris ban e Pert h Syd ney Adel aide Melb Hob art#
RISKS AND BENEFITS OF SUN EXPOSURE POSITION STATEMENT
Summary statement RISKS AND BENEFITS OF SUN EXPOSURE POSITION STATEMENT A balance is required between avoiding an increase in the risk of skin cancer by excessive sun exposure and achieving enough sun
More informationExecutive summary. Executive summary 11. Effects and sources of vitamin D
Executive summary Dietary reference values indicate the ideal amount of a given substance for daily intake in order to stay healthy. The Health Council of the Netherlands regularly checks whether the existing
More informationUVR Protection and Vitamin D
UVR Protection and Vitamin D Some people are confused about whether they should get more sun to make sure they get enough vitamin D. This information sheet explains that you need to protect yourself from
More informationIn addition to bone health, emerging science reveals a non-skeletal benefit of vitamin D for several other health outcomes.
Vitamin D AT A GLANCE Introduction Vitamin D comprises a group of fat-soluble compounds that are essential for maintaining the mineral balance in the body. The vitamin D form synthesized in humans is called
More informationDr Seeta Durvasula.
Dr Seeta Durvasula seeta.durvasula@sydney.edu.au 1 Avoid sun skin cancer risk Australia has highest rates of skin cancer in the world Epidemic of Vitamin D deficiency Lack of Vitamin D increases risk of
More informationVITAMIND. Frequently asked questions about Vitamin D in childhood
VITAMIND Frequently asked questions about Vitamin D in childhood Introduction Around the UK there are different recommendations for the prevention, detection and treatment of Vitamin D deficiency. The
More informationVitamin D Deficiency
PATIENT INFORMATION LEAFLET Vitamin D Deficiency What is vitamin D? Vitamin D is essential for good health, strong bones and muscles. Unlike other vitamins, we do not need to get vitamin D from food. Our
More informationVitamin D. Vitamin functioning as hormone. Todd A Fearer, MD FACP
Vitamin D Vitamin functioning as hormone Todd A Fearer, MD FACP Vitamin overview Vitamins are organic compounds that are essential in small amounts for normal metabolism They are different from minerals
More informationVitamin D is important for overall health and strong bones.
is important for overall health and strong bones. It s also an important factor in making sure your muscles, heart, lungs and brain work well and that your body can fight infection. Your body can make
More informationVitamin D The hidden deficiency. Dr Pamela von Hurst Senior Lecturer Human Nutrition Director of the Massey Vitamin D Research Centre
Vitamin D The hidden deficiency Dr Pamela von Hurst Senior Lecturer Human Nutrition Director of the Massey Vitamin D Research Centre Overview Vitamin D what, where from, how much The New Zealand situation
More informationCORNWALL & IoS GUIDELINE FOR THE MANAGEMENT OF VITAMIN D DEFICIENCY& INSUFFICIENCY IN ADULTS
CORNWALL & IoS GUIDELINE FOR THE MANAGEMENT OF VITAMIN D DEFICIENCY& INSUFFICIENCY IN ADULTS INTRODUCTION Vitamin D is essential for skeletal growth and bone health. Dietary sources in the UK are very
More informationVitamin D and Kids: How Much Sun Should They Get to Stay Healthy? By Nancy Shute, US News & World Report online, August 03, :12 PM ET
Vitamin D and Kids: How Much Sun Should They Get to Stay Healthy? By Nancy Shute, US News & World Report online, August 03, 2009 03:12 PM ET Name: Right after I coated my kid with SPF 70 sunscreen and
More informationESPEN Congress Prague 2007
ESPEN Congress Prague 2007 Key papers in the field of nutrition Dietitian Geila S Rozen Key Papers in the field of Nutrition ESPEN 2007 Prague Geila S Rozen Clinical Nutrition Dep. Rambam health campus
More informationVITAMIN D AND THE ATHLETE
VITAMIN D AND THE ATHLETE CONSIDERATIONS FOR THE PRACTITIONER Written by Bruce Hamilton, Qatar Vitamin D is a steroid hormone that has previously been given little attention, partially as a result of its
More informationVitamin D. and you. Important health information for everyone
Vitamin D and you Important health information for everyone Updated 2017 Why is vitamin D important? Throughout life, vitamin D is essential for keeping bones healthy. It is important for pregnant women
More informationInnovative solutions for improving vitamin D nutrition and health in Europe
Innovative solutions for improving vitamin D nutrition and health in Europe Mairead Kiely Professor of Human Nutrition University College Cork, Ireland 23/10/2017 1 Vitamin D deficiency is not a new problem
More informationDisclosure 7/2/2018. Consultant : Ultragenyx, Alexion, Ferrings. Research grant support: Ultragenyx, Shire, Amgen. Clinical Trial : Ultragynyx, Amgen
Pisit (Duke) Pitukcheewanont, MD, FAAP Clinical Director, Pediatric Bone Program, Center for Diabetes, Endocrinology & Metabolism Children s Hospital Los Angeles Professor of Clinical Pediatrics The Keck
More informationWebinar 14. Vega Vitamin D
Webinar 14 Vega Vitamin D Vitamin D recommendations The UK government now recommends that EVERYBODY in the UK takes a vitamin D supplement daily during the autumn and winter months Everyone over one year
More informationGP Update Non-Melanoma Skin Cancer. Mark Strickland, SunSmart Manager Cancer Council Western Australia Thursday 8 th December 2016
GP Update Non-Melanoma Skin Cancer Mark Strickland, SunSmart Manager Cancer Council Western Australia Thursday 8 th December 2016 Global (NMSC) skin cancers figures 2 to 3 million non-melanoma skin cancers
More informationCooking for bone health
Cooking for bone health An interactive cooking session that includes instruction on how to prepare simple and nutritious meals that support healthy bones. Why is bone health important? Bones play many
More informationVitamin D the role for HCPs
Vitamin D the role for HCPs Judy More Paediatric Dietitian and Registered Nutritionist Colief Expert Panel In association with Vitamin D The role for HCPs 2 3 4 What is vitamin D? The two forms Why are
More informationDear Ms Smith, Linda Smith Assistant Clerk to the Public Health Petitions Committee TG.01 EDINBURGH EH99 1SP
Linda Smith Assistant Clerk to the Public Health Petitions Committee TG.01 EDINBURGH EH99 1SP 7 th September 2009 Our reference: FSA OR 897 Dear Ms Smith, RE: Consideration of Petition PE1259 Thank you
More informationDubai Standards of Care 2017 (Management of Vitamin D Deficiency in Children and Adults)
Dubai Standards of Care 2017 (Management of Vitamin D Deficiency in Children and Adults) Preface The management of vitamin D deficiency is one of the most common problem dealt with in daily practice. In
More informationMS Society of Canada Recommendations on Vitamin D in MS 1
MS Society of Canada Recommendations on Vitamin D in MS Many people affected by MS have questions about vitamin D, and whether it can prevent MS or be used to help stop the disease from getting worse.
More informationAssessment of the feasibility of using sunlight exposure to obtain the recommended level of vitamin D in Canada
Assessment of the feasibility of using sunlight exposure to obtain the recommended level of vitamin D in Canada Pavandeep Gill MD, Sunil Kalia MD MHSc Abstract Background: Endogenous vitamin D synthesis
More informationVitamin D The Sunshine Vitamin
Vitamin D The Sunshine Vitamin There are 13 so-called essential vitamins. They re called essential because they are literally necessary for our bodies to function and stay alive. By and large, our bodies
More informationYOUR VITAMIN D CHEAT-SHEET
YOUR VITAMIN D CHEAT-SHEET When using the cutoff of 20 ng/ml (50 nmol/l) for vitamin D deficiency, according to data collected by the Centers for Disease Control (CDC), 90 million Americans are vitamin
More information1. Adults; a. Risk factors. b. Who should be tested for vitamin D deficiency? c. Investigations. d. Who do we treat and how do we treat? 2.
Vitamin D and Bone Health: A Practical Clinical Guideline for Patient Management For Adults and Children Adapted from existing local guidance, National Osteoporosis Society Practical Guides and from Royal
More informationWelcome to mmlearn.org
Welcome to mmlearn.org VITAMIN D SUNSHINE VITAMIN INTRODUCTION Familiar with skeletal needs Rickets Osteoporosis Fractures INTRODUCTION Not as familiar other associations Immune system Cancer Cardiovascular
More informationVitamin D: How to Translate the Science of the New Dietary Reference Intakes for This Complex Vitamin More Is Not Always Better!
April 2012 Volume 50 Number 2 Article Number 2TOT7 Return to Current Issue Vitamin D: How to Translate the Science of the New Dietary Reference Intakes for This Complex Vitamin More Is Not Always Better!
More informationUnderstanding Vitamin D: To D or not to D? Anastassios G Pittas, MD MS Tufts Medical Center
Understanding Vitamin D: To D or not to D? Anastassios G Pittas, MD MS Tufts Medical Center D2dstudy.org pittas@d2dstudy.org Disclosure: NIH funding Popularity of vitamin D RESEARCH CONSUMERS 40000 Publications
More informationVitamin D blood levels of Canadians
Catalogue no.82-624 X ISSN 1925-6493 Article Vitamin D blood levels of Canadians by Teresa Janz and Caryn Pearson Health Statistics Division January 2013 How to obtain more information For information
More informationHow The Skin Tans. How The Skin Tans
How The Skin Tans How The Skin Tans Our natural skin colour is determined by skin pigment melanin and the presence and amount of melanin in an individual is determined by hereditary factors. When our skin
More informationVitamin D - A European Perspective Needs Intake and Status 20 th May 2014
Vitamin D - A European Perspective Needs Intake and Status 20 th May 2014 Ayela Spiro British Nutrition Foundation Before we start, some important acknowledgements We would like to warmly thank: Conference
More informationImportance of Vitamin D in Healthy Ageing. Peter Liu, B Pharmacy Market Development Manager DSM Nutritional Products Asia Pacific 11 th November 2014
Importance of Vitamin D in Healthy Ageing Peter Liu, B Pharmacy Market Development Manager DSM Nutritional Products Asia Pacific 11 th November 2014 Healthy life expectancy the challenge! Life expectancy
More informationAll about. Osteoporosis
All about Osteoporosis What is osteoporosis? Osteoporosis literally means porous bone. It is a condition that causes bones to become thin and fragile, decreasing bone strength and making them more prone
More informationVitamin D Replacement ROCKY MOUNTAIN MEETING NOV 2013 BANFF W.COKE UNIVERSITY OF TORONTO
Vitamin D Replacement ROCKY MOUNTAIN MEETING NOV 2013 BANFF W.COKE UNIVERSITY OF TORONTO Disclosures: (Academic Mea Culpa) No financial conflicts I have no expertise re: Vitamin D. OBJECTIVES: 1) Review
More informationGuideline for the Diagnosis and Management of Vitamin D Deficiency
Colchester Hospital University NHS Foundation Trust Guideline for the Diagnosis and Management of Vitamin D Deficiency As the symptoms and treatment doses can be different for adults and children, this
More informationVitamin D. and you. Important health information for everyone
Vitamin D and you Important health information for everyone Why is vitamin D important? Throughout life, vitamin D is essential for keeping bones healthy. It is important for pregnant women breastfeeding
More informationVitamin D supplementation: Navigating the debate
Vitamin D supplementation: Navigating the debate Key concepts There is no evidence to support blanket supplementation with vitamin D for the total population Severe vitamin D deficiency is a serious health
More informationNSAC Statement of Advice : Should women be screened for vitamin D during pregnancy in New Zealand?
Date 16 NOVEMBER 2009 Date sent to Director General 12 FEBRUARY 2010 NSAC Statement of Advice : Should women be screened for vitamin D during pregnancy in New Zealand? To From Stephen McKernan, Director-General
More informationContinuing Education for Pharmacy Technicians Dietary Supplements: Calcium and Vitamin D
1 Continuing Education for Pharmacy Technicians Dietary Supplements: Calcium and Vitamin D Ashley Elliott, PharmD candidate Julie N. Bosler, PharmD McWhorter School of Pharmacy Birmingham, AL Objectives:
More informationD/UV-F. Owner s Manual. Manufactured by KBD, Inc. KBD, Inc. 59 Damonte Ranch Parkway, Ste. B262 Reno, NV
Manufactured by KBD, Inc. D/UV-F Owner s Manual KBD, Inc. 59 Damonte Ranch Parkway, Ste. B262 Reno, NV 8952 www.sperti.com toll-free 1-800-544-3757 local 859-331-0800 fax 859-331-0802 email info@sperti.com
More informationEastern Paediatric Epilepsy Network
1. Objective 2. Background 3. Vitamin D and epilepsy 4. Monitoring and optimizing bone health in healthy children 5. 6. Recommendations 1.) Objective: 1.1) To provide a rational basis for monitoring bone
More informationMEDICAL POLICY EFFECTIVE DATE: 08/21/14 REVISED DATE: 04/16/15, 06/16/16, 07/20/17 SUBJECT: SCREENING FOR VITAMIN D DEFICIENCY
MEDICAL POLICY SUBJECT: SCREENING FOR VITAMIN D DEFICIENCY A nonprofit independent licensee of the BlueCross BlueShield Association PAGE: 1 OF: 5 If a product excludes coverage for a service, it is not
More informationPrevalence Of Vitamin D Inadequacy In Peri And Postmenopausal Women Presented At Dow University Hospital, Ojha Campus. A Cross Sectional Study
ISPUB.COM The Internet Journal of Nutrition and Wellness Volume 12 Number 1 Prevalence Of Vitamin D Inadequacy In Peri And Postmenopausal Women Presented At Dow University S Shukar-ud-din, R Tabassum,
More informationCFDR Semi Annual Research Showcase May 1st, 2014
CFDR Semi Annual Research Showcase May 1st, 2014 Source: Canada s Aging Population, Health Canada, 2002, p. 3 s The 2006 Census revealed that 4.3 million Canadians were > 65 y Almost 7% lived in health
More informationOsteoporosis The Silent Disease
Joel Johnson, Yr, Subtask, Biology ER., 7/9/5 Osteoporosis The Silent Disease What is Osteoporosis? Osteoporosis is a disease which causes bones to become brittle, which increases the risk of broken bones.
More informationActivity 3-F: Micronutrient Activity Station
Activity 3-F: Micronutrient Activity Station 1 Vitamin A deficiency 1 Instructions Please read through this Vitamin A information package and discuss amongst your group. You have 15 minutes to review this
More informationBaby Ddrops. What about Infants? Loving s easy. A simple vitamin D option. And Baby Ddrops are easy too.
What about Infants? Baby Ddrops Now Available! The Ddrops Family of products 10 The American Academy of Pediatrics recommends: Breastfed infants receive a vitamin D supplement of 400 IU per day from birth
More informationActivity 3-F: Micronutrient Activity Station
Activity 3-F: Micronutrient Activity Station 1 Vitamin A deficiency 1 Instructions Please read through this Vitamin A information package and discuss amongst your group. You have 15 minutes to review this
More informationProfessor Md. Mahtab Uddin Hassan FCPS(Med) MRCP(UK) FRCP(Edin) Professor of Medicine AKMMCH
Professor Md. Mahtab Uddin Hassan FCPS(Med) MRCP(UK) FRCP(Edin) Professor of Medicine AKMMCH Introduction The sunshine vitamin is a hot topic. Vitamin D deficiency and insufficiency is becoming a global
More informationVITAMIN D IN HEALTH AND DISEASE
VITAMIN D IN HEALTH AND DISEASE Margus Lember University of Tartu, Estonia ESIM, Saas Fee, January 16, 2014 l It`s most healthy to live on the southern side of a mountain l Hippokrates of Kos 460-370 BC
More informationYEAR 9 PE THEORY TERM 1. Content sourced from
YEAR 9 PE THEORY TERM 1 Content sourced from http://www.generationsunsmart.com.au/ Skin Cancer In Australia Australia has amongst the highest rates of skin cancer in the world. It is the most common type
More informationVitamin D in the diet or supplements is measured in micrograms or International Units. Micrograms are a measurement of weight whereas IUs are a
1 Vitamin D in the diet or supplements is measured in micrograms or International Units. Micrograms are a measurement of weight whereas IUs are a measurement of activity. IUs were preferred in the past
More informationHold the Sunscreen: Your Body Needs that Vitamin D
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/clinicians-roundtable/hold-the-sunscreen-your-body-needs-that-vitamind/4149/
More informationEnclosed you will find our revised manuscript, entitled Sunlight for better or for worse?. One version with, one without track changes.
Noordwijk, 03-02-2016 Dear Editor, Enclosed you will find our revised manuscript, entitled Sunlight for better or for worse?. One version with, one without track changes. In response to the reviewers constructive
More informationOverview. Musculoskeletal consequences of Vitamin D deficiency. Non-musculoskeletal associations of Vitamin D deficiency
Vitamin D Zulf Mughal Consultant in Paediatric Bone Disorders Department of Paediatric Endocriology Royal Manchester Children's Hospital Manchester M13 0JH Bone Study Day, 28 th September 2012 Overview
More informationGet $2.00 off. Baby Ddrops. What about Infants? Loving s easy. A simple vitamin D option OFFER. And Baby Ddrops are easy too.
Baby Ddrops What about Infants? 10 The Canadian Paediatric Society recommends: Breastfed infants receive a vitamin D supplement of 400 IU per day from birth onwards. Breastfed infants at higher risk of
More informationThe Prevalence of Vitamin D Deficiency in Benghazi Population
IOSR Journal of Pharmacy and Biological Sciences (IOSR-JPBS) e-issn:2278-3008, p-issn:2319-7676. Volume 13, Issue 4 Ver. I (Jul Aug 2018), PP 36-42 www.iosrjournals.org The Prevalence of Vitamin D Deficiency
More informationThe Impact of Life Style & Dietary Habits on Vitamin D status Among Young Emiratis. Fatme Al Anouti, Ph.D. Zayed University, Abu Dhabi
The Impact of Life Style & Dietary Habits on Vitamin D status Among Young Emiratis Fatme Al Anouti, Ph.D. Zayed University, Abu Dhabi The Sun-Shine Vitamin Vitamin D is unique because it can be synthesized
More informationHS58A. Healthy Start vitamins and why you need them
HS58A Healthy Start vitamins and why you need them Folic acid Taking a folic acid supplement before you re pregnant and until the 12th week of your pregnancy is really important because it reduces the
More informationVITAMIN D CRITICAL TO BONE HEALTH
VITAMIN D CRITICAL TO BONE HEALTH Vitamin D supplementation is now all the rage, as physicians are finally realizing that many diseases are caused by Vitamin D deficiencies. It will be helpful to know
More informationOral and Maxillofacial Surgery Department
Oral and Maxillofacial Surgery Department This leaflet explains: Lentigo Maligna What are the aims of this leaflet? This leaflet has been written to help you understand more about lentigo maligna and melanoma
More informationGlorious Sunlight. Chapter contents. A) Benefits of sunlight. B) Recommendations. C) How to safely obtain the benefits of sunlight.
Glorious Sunlight We understand that good health is dependent upon good food and exercise. Some even understand that water may be good for us, but seldom do we speak about the benefits of the radiant energy
More informationGuideline on Diagnosis & Management of Vitamin D Deficiency in Adults for Non-Specialists
Guideline on Diagnosis & Management of Vitamin D Deficiency in Adults for Non-Specialists (Review date: April 2019) Contents Summary Flowchart... 2 Introduction... 3 Structure and mechanism of action of
More informationVitamin D in At-Risk Populations. Bonny Specker, PhD EA Martin Program in Human Nutrition South Dakota State University
Vitamin D in At-Risk Populations Bonny Specker, PhD EA Martin Program in Human Nutrition South Dakota State University Outline Introduction Factors Influencing Endogenous Synthesis of Vitamin D Sun exposure
More informationVitamin D: Conflict of Interest Statement Corporate. Outline 7/5/2016
Vitamin D: What s New and Not? Clifford J Rosen MD Maine Medical Center Research Institute rosenc@mmc.org Conflict of Interest Statement Corporate NO STOCKS or EQUITY Editor UpToDate, New England Journal
More informationFactsheet One- Key Messages for Leaders
Factsheet One- Key Messages for Leaders The Skin The skin is the outer layer covering of your body. Its main functions are to: Protect the body from injury, infection and heat Control body temperature
More informationTHROUGHOUT LIFE. Milk and dairy foods provide important nutrients for people of all ages and stages of life.
Dairy AND YOUR MUSCLE AND BONE HEALTH Dairy, nutrition and health THROUGHOUT LIFE 2 A healthy lifestyle and good nutrition throughout life can help us live in better health for longer, with less illness
More informationIron and Vitamin D: Sourcing Key Nutrients for Toddlers
For Healthcare Professional Use Only Toddler Factsheet 1.0 Iron and Vitamin D: Sourcing Key Nutrients for Toddlers An evidence-based guide to toddler nutrition for healthcare professionals Healthcare professionals
More informationThe Sun: Friend or Foe
The Sun: Friend or Foe Vitamin D (The Sunshine Vitamin) There is a relationship between low vitamin D levels and poor bone health. Links have been made to everything from multiple sclerosis to prostate
More informationVITAMIN D 4/25/13 HISTORY OF VITAMIN D SUPPLEMENTS NEW INFORMATION SOURCES COMPILATION OF SCIENTIFIC DATA VITAMIN D COMMON FACTS
HISTORY OF VITAMIN D SUPPLEMENTS VITAMIN D Since 1998, the Reference Daily Intake of vitamin D has been 400 IU. NEW SCIENCE OFFERS IMPROVED HEALTH AND DISEASE PREVENTION OPPORTUNITIES Historically evidence
More informationThe Environmental Working Group (EWG) recently took a look at many of the sunscreens available on shelves today. They concluded
Vitamin The Sunshine Vitamin Physician Assistant Anne Walch helps you determine when to head for the sun and when to seek shade. The sun s rays have long been a constant and powerful force in human life.
More informationVITAMIN D DEFICIENCY IN CHILDREN AND ADULTS: TREATMENT AND PROPHYLAXIS GUIDELINE
VITAMIN D DEFICIENCY IN CHILDREN AND ADULTS: TREATMENT AND PROPHYLAXIS GUIDELINE SECTION A. DEFINITION AND DIAGNOSIS The main source of vitamin D is from the action of UVB sunlight on the skin, which results
More informationClosing the Care Gap in Osteoporosis ICE Conference 2015
Closing the Care Gap in Osteoporosis ICE Conference 2015 Pat McCarthy-Briggs RD, MHEd Thank You! What is osteoporosis? a systemic skeletal disease characterized by low bone mass and microarchitectural
More informationHow could food supplements contribute to healthcare cost savings?
How could food supplements contribute to healthcare cost savings? Bernd Haber, BASF SE NPN Symposium Gezondheidswinst met vitamines en mineralen, 22.11.2018 Agenda 1. 2. 3. Are we living healthy? Do we
More informationVitamin D: does diet matter? Professor Helen Macdonald, University of Aberdeen
Vitamin D: does diet matter? Professor Helen Macdonald, University of Aberdeen Overview Introduction Where we get it and world status Current guidelines Sunlight and diet What are the relative contributions
More informationWhat is it and why is it important?
What is it and why is it important? Contents 1 Introduction 2 Roles of calcium 4 Importance of calcium for bone health throughout life 6 Lifestyle and bone health 7 Dairy foods and calcium 9 Vitamin D
More informationThe Vitamin D Gap. Vitamin D intake guidelines were established to prevent. Estimating an adequate intake of vitamin D. FEATURE VITAMIN D GAP
The Vitamin D Gap Estimating an adequate intake of vitamin D. By Laurence Montgomery, ND and George Tardik, ND Vitamin D intake guidelines were established to prevent rickets in children and osteomalacia
More informationVitamin D & Cardiovascular Disease
Vitamin D & Cardiovascular Disease Disclosures None Vitamin D Objectives: Discuss the basics of vitamin D metabolism Discuss the role of vitamin D deficiency in the development of coronary disease Review
More informationSAFETY ASSESSMENT. UV-treated mushrooms (Agaricus bisporus) with increased vitamin D content
SAFETY ASSESSMENT UV-treated mushrooms (Agaricus bisporus) with increased vitamin D content Applicant: Walsh Mushrooms, UK Contact: Mr Padraic O Leary Novel Food Classification: Article 1.2(f) Introduction
More informationCancer Association of South Africa (CANSA)
Cancer Association of South Africa (CANSA) Fact Sheet on the Use of Sunbeds Introduction A sunbed, also known as a tanning bed or sun tanning bed, is a device that emits ultraviolet radiation (typically
More informationThe Leeds Teaching Hospitals NHS Trust Sun protection and Vitamin D
n The Leeds Teaching Hospitals NHS Trust Sun protection and Vitamin D Advice after a diagnosis of melanoma or for people at risk of skin cancer Information for patients This leaflet gives advice on sun
More informationVitamin D Deficiency: Information for Cancer Patients. A Publication of The Bone and Cancer Foundation
Vitamin D Deficiency: Information for Cancer Patients A Publication of The Bone and Cancer Foundation Contents INTRODUCTION (PAGE 2). VITAMIN D DEFICIENCY - A WORLDWIDE PROBLEM (PAGE 2). SOURCES AND TYPES
More informationCut your cancer risk 7 ways to help prevent cancer
Cut your cancer risk 7 ways to help prevent cancer Cancer Council 13 11 20 www.cutyourcancerrisk.org.au Cut your cancer risk Check for unusual changes and have regular screening tests 1] Check for unusual
More informationPage 1
Osteoporosis Osteoporosis is a condition characterised by weakened bones that fracture easily. After menopause many women are at risk of developing osteoporosis. Peak bone mass is usually reached during
More informationPolicies, Procedures, Guidelines and Protocols Document Details
Title Policies, Procedures, Guidelines and Protocols Document Details Trust Ref No 2074-38166 Local Ref (optional) Main points the document covers Who is the document aimed at? Author Approved by (Committee/Director)
More informationAn intervention to improve sun-safe and healthy behaviours in construction workers
An intervention to improve sun-safe and healthy behaviours in construction workers Amanda Nioi 1, Charlotte Wendelboe-Nelson 1, Sue Cowan 2, Hilary Cowie 3, Shahzad Rashid 3, Peter Ritchie 3, Mark Cherrie
More informationHEALTHY FOR LIFE: MEN AND HIV
Images in this document are stock photos. Posed by models. HEALTHY FOR LIFE: MEN AND HIV Nobody likes to think about the effects of ageing but it is helpful to know what to expect. This knowledge can help
More informationVitamins. At the end of this unit you should be able to:- Understand why our bodies need certain vitamins.
Vitamins At the end of this unit you should be able to:- Understand why our bodies need certain vitamins. Recognise the difference between fat soluble and water soluble vitamins. Identify the sources and
More informationIS VITAMIN D IMPORTANT IN THE MANAGEMENT OF TUBERCULOSIS?
IS VITAMIN D IMPORTANT IN THE MANAGEMENT OF TUBERCULOSIS? Dr Heather Milburn Consultant Respiratory Physician Guy s & St Thomas NHS Foundation Trust READER IN Respiratory Medicine KING S College London
More informationOstelin Training Level 2
Ostelin Training Level 2 Objectives At the end of this product training, you should be: Familiar with the importance and benefits of Vitamin D and calcium Aware of conditions relating to Vitamin D deficiency
More informationREPORT 4 OF THE COUNCIL ON SCIENCE AND PUBLIC HEALTH (A-09) Appropriate Supplementation of Vitamin D (Resolution 425, A-08) (Reference Committee D)
REPORT OF THE COUNCIL ON SCIENCE AND PUBLIC HEALTH (A-0) Appropriate Supplementation of Vitamin D (Resolution, A-0) (Reference Committee D) EXECUTIVE SUMMARY Objective: To highlight key information and
More informationMisnomers About UV and the Positive Effects of the Sun
Misnomers About UV and the Positive Effects of the Sun OHSU says UVB may burn your skin, but it creates Vitamin D, which is essential for bone health, and positively impacts cardiovascular disease and
More informationAutism and Vitamin D. Medical Hypotheses Volume 70, Issue 4, 2008, Pages
Autism and Vitamin D 1 Medical Hypotheses Volume 70, Issue 4, 2008, Pages 750-759 John Jacob Cannell Atascadero State Hospital, Psychiatry, Atascadero, CA This study has 89 references. FROM ABSTRACT: Any
More informationJust the vitamin D your family needs, pure and simple
Just the vitamin D your family needs, pure and simple Baby Ddrops A simple vitamin D option Simply place just one drop of Baby Ddrops 400 IU onto a clean surface (such as fingertip or mother s nipple)
More informationVitamin D during pregnancy and breastfeeding
Vitamin D during pregnancy and breastfeeding Getting the right nutrients and eating well when you re pregnant or breastfeeding is important for your baby s growth and development. Vitamin D helps you to
More informationVittles and Vitamins for the Vintage Adult
Vittles and Vitamins for the Vintage Adult Barbara Robertson MA, RD, CNSD, LMNT The Nebraska Medical Center Objectives Describe the association between nutrition and the common problems of the elderly
More informationHow to Grow Healthy Bones for Life
How to Grow Healthy Bones for Life Without bones, you could look like this What do your bones do for you? But it lets you move! Just like a house frame, your skeleton is a frame to hold your body upright
More information